Clinical audit can be a powerful tool for change, but is often perceived as externally-imposed time-wasting. Focusing on applications of clinical audit in psychoanalytic psychotherapy NHS services, the authors examine why audit is resented, how it can be ‘reconstructed’ as a useful tool for clinicals, and provide real-life examples of good practice. More than a simple ‘how-to’, this book provides new rnderstanding of a persistent problem in health-care organisations and will be of interest to all mental health staff, trainees and service managers.